Shaila Blevins

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

F6971332 Issued in CA

Practice address

3610 Snell Ave
San Jose, CA 95136-1305

Phone

(408) 618-5265

NPI assigned

Nov 8, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Autism and Related Disorders LLC

  • Behavior Analyst
  • San Jose, CA
  • NPI 1740437029
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1255809133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SNELL AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951361305",
            "telephone_number": "408-618-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "SHAILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "F6971332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry A. Blay, MD
• BLC-Atrium at San Jose, L.P.
• Carl Bleisch
• Sara Bleiweiss, M.A.
• Katherine Ardis Blenko, MD
• Audra Blickenstaff
• Brian Blinn, LAC
• Anne-Marie Bliss, MFT
• Blissful Healing Center
• Briget Colleen Block, M.A., CCC-SLP

• Behavior Analyst in San Jose, CA
• Providers in San Jose, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.